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1671 W Park Ter FNCE19-0095 4' FENCE WALL OR BARRIER PERMIT PERMIT NUMBER r CITY OF ATLANTIC BEACH FNCE19-0095 8 ISSUED: 8/19/2019 00 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 2/15/2020 MUST CALL INSPECTION • ! • 14) 247—S814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' / CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL • • OF . . NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies,or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1671 W PARK TER FENCE WALL OR BARRIER FENCE 4' FENCE $3629.00 TYPE OF ZONING: :D • • • GROUP: 1720200332 SELVA MARINA UNIT 07 COMPANY: ADDRESS: Ole Time Fence LLC 13820 Old St. Augustine Rd. #13-196 Jacksonville FL 32258 • ADDRESS: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. CONDITIONSLIST OF Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc., Republic Services,Donovan Dumpsters, Phillips Containers,JDog/Dennis Junk Removal,All American Roll Off,WCA Waste Corporation). Container cannot be placed on City right-of-way. 3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. Issued Date:8/19/2019 1 of 2 PERMIT NUMBER FENCE WALL OR BARRIER PERMIT r S CITY OF ATLANTIC BEACH FNCE19-0095 ISSUED: 8/19/2019 800 SEMINOLE ROAD ;; �%' EXPIRES: 2/15/2020 ATLANTIC BEACH, FL 32233 4 PUBLIC WORKS RUNOFF INFORMATIONAL Notes: All runoff must remain on-site. Cannot raise lot elevation. 5 PUBLIC WORKS FENCING REMOVED INFORMATIONAL Notes: All old fencing and debris must be removed from job site by Contractor. 6 PUBLIC WORKS ADDITIONAL COMMENTS PUBLIC WORKS INFORMATIONAL Notes: Fence cannot be installed on City easement. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PLAN CHECK 455-0000-322-1001 0 $17.50 FENCE 455-0000-322-1000 0 $35.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $81.50 Issued Date:8/19/2019 2 of 2 riyLy�, City of Atlantic Beach APPLICATION NUMBER }� Building Department (To be assigned by the Building Department.) 800 Seminole Road Q c r' Atlantic Beach, Florida 32233-5445 F�a I / �� /� Phone(904)247-5826 Fax(904)247-5845 ,Q E-mail: building-dept@coab.us Date routed: C .� City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Ye No uil Applicant: �(�� FiM F ��1uL'F annin &Z Tree Administrator Project: r rF,K)e, is o ublic Utilitie Public afety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. ❑Not applicable (Circle one.) Comments: (HDI N PLANNING &ZONING /yl Lj Reviewed by: Date: -L— TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 - Building Permit Application OFFICE COPY Updated 10/9/18 City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: QIJilding-DeF t@coab.us IS REQUIRED. Job Address: f(O7( folrk Tec' 1�1 Permit Number:�Fn� E t 9 0O 9S Legal Description bf 1Sf Pj(oc,L 12t -�eAj0, M&t,;,o Urn,f #7, FW &-L 3g1 p4s,,t52RE# IIIF Valuation of Work(Replacement Cost)$3G '29 • 011 Heated/Cooled SF Non-Heated/Cooled • Class of Work: �<ew ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial >�esidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No • Will trees be removed in association with proposed ro'ect? ❑Yes must submit separate Tree Removal Permit o Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name -�,C In A A }� Address I(o71 Pac u- Tater W City , f(( 8.�cJ,, State rt- Zip 32-2-33 Phone '947- 2-U - 749 7 E-Mail ')a lIl.e�-+; 0 jOI@ f!)n z, wt Owner or Agent(If Agent, Power oLfAttorney or Agency Letter Required) Contractor Information Name of Company Dlt Tivsnz f7 y c-e- UX, Qualifying Agent Address (3790 blyl St. A--,u;,,,LSb,e_ 1U. Sfe$ l?6e City St A-ix i e,hne- State Fl- Zip 3Z_2-51K Office Phone `)OY - 5-A,—'1,21A Job Site Contact Number State Certification/Registration# E-Mail Architect Name& Phone# LLI Engineer's Name&Phone# 0 Workers Compensation Insurer OR Exempt❑ Expiration Date Z N Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installat�l q 0 00 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulaftrlgt 2 _ construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIG , UJI 0 o WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirement f Tmmsp 0 Q permit,there may be additional restrictions applicable to this property that may be found in the public records of this count) - Q U there may be additional permits required from other governmental entities such as water management districts,state agengey, pc federal agencies. d O Q 0 _J OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance witht ll Ir H (- applicable laws regulating construction and zoning. 0 � Q W LL Ill. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAS >. `L w rn >. am m RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT VLY w v w TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE w U m CC w RECORDING YO NOTICE TF COMMENCEMENT. UJI UJ (Signature of Owner or Agent) (Signature of Contractor) Si ned and sworn to(or affirmed)before me this 2�day of Si ed and sworn to(or irmed) be ore t day of t by �""� ►t4.u:,u I G ,b r� �Q.iaalc�.1 (Signa ure of Notary) W.CHRISTOPHER MEDLIN -4 CJI :` Commission#FF 933761 �; Y'P�•, KELLI BOHN •_` Expires November 4,2019 [tl'Personally Known OR W-4 ; [ ]Personally Known OR �c Notary Public-State of Florida �'��of:1'%0 Bp�b Thru Troy Fain lmrm.800-385-7019 A [ ]Produced Identificatio . Commission I GG078075 Produced Identificatione--� Type of Identification: `" M Comm.Ex Type of Identification4� f��_ ,,,`,f; Bonded through National Notary Assn. .�.� _ . . �� _ i 9r62 •fir N '� .. .. ..,. ,fit.,,;)�lar.mrt� .�!��,'- � : ; F ., .. ... :i ti�� fluff eyr.,z3.�Tt y:+) ��'�,� N. ls'^�Ty-nffi4'A"4i'+s'F_.,:.r rx'+,`1Y°''v.�:^F_: -- F- 6Elq - 00915- NOTICE OF COMMENCEMENT OFFICE COPY State of Florida Tax Folio No. County of Duval To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved:_Lot 15, Block 12, SELVA MARINA UNIT NO. 7 according to Plat thereof, recorded in Plat Book 34, page 52, of the Public Records of Duval County, Florida Address of property being improved: 1671 Park Ter W,Atlantic Beach,FL 32233 General description of improvements: Fence Installation Owner: Joseph and Katherine Alberti Address: 1671 Park Ter W,Atlantic Beach,FL 32233 Owner's interest in site of the improvement: Owner Fee Simple Titleholder(if other than owner): Name: Contractor: Ole Time Fence,LLC Address: 13720 Old St Augustine Rd,Ste 8#196,St.Augustine,FL 32258 Telephone No.: (904)576-6864 Fax No: Surety(if any) N/A Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: N/A Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): II// THIS SPACE FOR RECORDER'S USE ONLY OWNER 4 Signed: Date:124 1A411 Before me this q —`I day of J�J(�j 2J in the County of Duval,State Doc#2019181480,OR BK 18888 Page 296, �f Florida,has personally appearedfor e.0h Number Pages:1 otary Public at Large,State of Florida,County of Duval. Recorded 08/05/2019 03:25 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 1y commission expires: 7lY)czw� Zr 2-0 COUNTY ersonally Known: V -� RECORDING $10.00 roduced Identificat' n: "'Y'p' •. ELLIBOHN Notary Public-State of Florida �� '`� s '•_` Commission 0 GG 078075 -;q My Comm.Expires May 22,2021 °F F` Bonded through National Notary Assn. 7i,:L�l; City of Atlantic Beach �. �= APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1j,' Atlantic Beach, Florida 32233-5 Q 6 06 2N FN�)&-, i i-oo g-5 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us - Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ii Department review required Yes No Property Address: 1 �t, � � �� p p .14 Buildin Applicant: OLE 'TOME (:C ADC�= annin &Zo Tree Administrator Project: — — N �'�wOf�- ublic Utilitie Public afety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b Date: TREE ADMIN. Second Review: []Approved as revised. []Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 rSyLl; City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) rP 800 Seminole Road ��( g-oo 95 � Atlantic Beach, Florida 32233-5445 Phone(904)247-5826• Fax(904)247-5845 sC7 E-mail: building-dept@coab.us Date routed: v City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � pp, Department review required Yes No � �� K � E2 � p q (7C_A-DC-6-- uildiApplicant: O� Q �t/Nj( annin &Zo Tree Administrator Project: 1C ° ublic Utilitie Public afety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: �` Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 is) LyCity of Atlantic BeachAPPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole RoadQ /,/��Atlantic Beach, Florida 32233-5445 �iV��', IVLJPhone(904)247-5826 • Fax(904)247-5845E-mail: building-dept@coab.us Date routed: C� City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ii Property Address: P,2� Department review required Yes No t (�� P E� F_C__ADC_G idinApplicant: DLC_ 'TomF annin &Zo Tree Administrator Project: is o ublic Utilitie Public afety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. []Denied. &Kot applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: � — Date: L� TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. []Not applicable Comments: Reviewed by: Date: 1 Revised 05/19/2017